Individual
BONNIE KATE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 BARKSDALE BLVD, BOSSIER CITY, LA 71112-3902
(318) 606-6306
Mailing address
1301 COATES BLUFF DR APT 433, SHREVEPORT, LA 71104-2849
(318) 450-7255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22545
LA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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